Jason T Cook, PSYD, HSPP - Medicare Psychologist in Fort Wayne, IN

Jason T Cook, PSYD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Cook Behavioral Health Clinic Pc and his current practice location is 7230 Engle Rd, Ste 304, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 483-2400.

Jason T Cook is licensed to practice in Indiana (license number 20041587A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043283641.

Contact Information

Jason T Cook, PSYD, HSPP
7230 Engle Rd, Ste 304,
Fort Wayne, IN 46804-2209
(260) 483-2400
(260) 960-9361



Healthcare Provider's Profile

Full NameJason T Cook
GenderMale
SpecialityClinical Psychologist
Experience25 Years
Location7230 Engle Rd, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jason T Cook graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1043283641
  • Provider Enumeration Date: 02/13/2006
  • Last Update Date: 10/02/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7618928821
  • Enrollment ID: I20050204000566

Medical Identifiers

Medical identifiers for Jason T Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043283641NPI-NPPES
200290630MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 20041587A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cook Behavioral Health Clinic Pc32745844872

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jason T Cook allows following entities to bill medicare on his behalf.
Entity NamePark Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897004
PECOS PAC ID: 5991794794
Enrollment ID: O20041213000226

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Entity NameCook Behavioral Health Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265691257
PECOS PAC ID: 3274584487
Enrollment ID: O20050204000529

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason T Cook is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jason T Cook, PSYD, HSPP
7230 Engle Rd, Ste 304,
Fort Wayne, IN 46804-2209

Ph: (260) 481-2700
Jason T Cook, PSYD, HSPP
7230 Engle Rd, Ste 304,
Fort Wayne, IN 46804-2209

Ph: (260) 483-2400

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